National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 85623

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85623
VAERS Form:
Age:57.5
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA434A4 / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: CHILLS, FEVER, HEADACHE, ASTHENIA, DIARRHEA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': PCN, tetanus, oysters, diverticulitis

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 12/8/2009

VAERS ID: 85623 Before After
VAERS Form:
Age:57.5
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-10 1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA434A4 / 0 LA / IM

Administered by: Public      Purchased by: Unknown Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia, CHILLS, FEVER, HEADACHE, ASTHENIA, DIARRHEA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': PCN, tetanus, oysters, diverticulitis (blank)

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 2/14/2017

VAERS ID: 85623 Before After
VAERS Form:
Age:57.5 57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 5/14/2017

VAERS ID: 85623 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 9/14/2017

VAERS ID: 85623 Before After
VAERS Form:(blank) 1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 0 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 2/14/2018

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 6/14/2018

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 8/14/2018

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 9/14/2018

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 10/14/2018

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 12/24/2020

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 12/30/2020

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 5/7/2021

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better


Changed on 5/21/2021

VAERS ID: 85623 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-18
Onset:1996-04-18
Submitted:1996-04-29
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Hypokinesia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp fever/chills @ 31 yr w/flu vax dose 1~ ()~~~In patient
Other Medications: Zantac, Prozac, Premarin, maxide, Micro K
Current Illness: sinus infection
Preexisting Conditions: PCN, tetanus, oysters, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 18APR96 5PM fatigue;7PM fever, chills, diarrhea, h/a lasted for approx 12 hr, stayed in bed; 19APR 12:00 finally able to get out of bed slowly started to feel better

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=85623&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166